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Prediction of the infecting organism in peritoneal dialysis patients with acute peritonitis using interpretable Tsetlin Machines

Lookup NU author(s): Dr Olga TarasyukORCiD, Dr Anatoliy Gorbenko, Dr Jingjing ZhangORCiD, Professor Rishad ShafikORCiD, Professor Alex YakovlevORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

The analysis of complex biomedical datasets is becoming central to understanding disease mechanisms, aiding risk stratification and guiding patient management. However, the utility of computational methods is often constrained by their lack of interpretability and accessibility for non-experts, which is particularly relevant in clinically critical areas where rapid initiation of targeted therapies is key. To define diagnostically relevant immune signatures in peritoneal dialysis patients presenting with acute peritonitis, we analysed a comprehensive array of cellular and soluble parameters in cloudy peritoneal effluents. Utilising Tsetlin Machines (TMs), a logic-based machine learning approach, we identified pathogen-specific immune fingerprints for different bacterial groups, each characterised by unique biomarker combinations. Unlike traditional ‘black box’ machine learning models such as artificial neural networks, TMs identified clear, logical rules in the dataset that pointed towards distinctly nuanced immune responses to different types of bacterial infection. This demonstrates unambiguously that even when infecting the same anatomical location and causing clinically indistinguishable symptoms, each type of pathogens interacts in a specific way with the body’s immune system. Importantly, these immune signatures could be easily visualised to facilitate their interpretation, thereby not only enhancing diagnostic accuracy but also potentially allowing for rapid, accurate and transparent decision-making based on the patient’s immune profile. This unique diagnostic capacity of TMs could help deliver clear and actionable insights such as early patient risk stratification and support early and informed treatment choices in advance of conventional microbiological culture results, thus guiding antibiotic stewardship and contributing to improved patient outcomes.


Publication metadata

Author(s): Tarasyuk O, Gorbenko A, Eberl M, Topley N, Zhang J, Shafik R, Yakovlev A

Publication type: Article

Publication status: Published

Journal: Bioinformatics Advances

Year: 2025

Volume: 5

Issue: 1

Online publication date: 19/06/2025

Acceptance date: 09/06/2025

Date deposited: 28/05/2025

ISSN (electronic): 2635-0041

Publisher: Oxford University Press

URL: https://doi.org/10.1093/bioadv/vbaf140

DOI: 10.1093/bioadv/vbaf140

Data Access Statement: All underlying tools and the anonymized data underpinning this publication are available at https://github. com/anatoliy-gorbenko/biomarkers-visualization.


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Funding

Funder referenceFunder name
British Academy’s Researchers at Risk Fellowships Programme (RaR/100289)
EPSRC Programme Grant ‘SONNETS’ (EP/X036006/1)
EPSRC Standard Mode Grant ‘KNOT’ (EP/Z533841/1)
MRC Research Grant MR/N023145/1
NIHR
Wales Kidney Research Unit

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